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阿莫里卡的罗马外科手术。

Roman surgery in Armorica.

作者信息

Daoulas Thomas, Pardon-Labonnelie Muriel

机构信息

Centre Hospitalier Regional Universitaire de Brest, Brest, France.

Université Bourgogne Europe, UMR 7366 CNRS, Dijon, 21000, France.

出版信息

Int Orthop. 2025 Jul;49(7):1747-1752. doi: 10.1007/s00264-025-06550-z. Epub 2025 May 7.

Abstract

PURPOSE

To identify evidence of surgical practice in Armorica during the Roman period.

METHODS

Various sources were examined to search for potential traces of surgical activity during the Roman era. The objective was to identify archaeological artifacts that could be associated with ancient surgical instruments. Once identified, the objects of interest were examined in different archaeological repositories in Brittany by an independent observer.

RESULTS

Between March 2021 and December 2022, 995 excavation reports were analyzed. Twenty-one documents mentioned a potentially surgical object. One of the analyzed artifacts was referenced in an excavation report containing the keyword "scalpel," originating from the site of Ploufragan (22240, Côtes d'Armor, Brittany, France). Following an in-depth investigation, the artifact was successfully retrieved. The object, measuring 14 cm in length, was made of oxidized bronze. Its tapered handle had an octagonal cross-section. At one end, the handle broadened and flattened into a pointed spatula. The opposite end featured a slit containing an iron component, which was heavily corroded. According to Ralph Jackson, former curator of the British Museum and a specialist in Roman medical instrumentation, this scalpel handle is most likely from the Roman period, dating back to the first to third century CE. The presence of this scalpel suggests that relatively advanced surgical practices were performed by Armorican practitioners in Antiquity. This study provides evidence that operative medicine, as conceptualized in the Greco-Roman tradition, extended to Armorica during Antiquity.

CONCLUSION

While the study of "beautiful objects" and monumental remains gives a biased image of a given society, the analysis of everyday artifacts can yield significant insights into the habits and routines of a population. This principle also applies to the study of surgical practice in Antiquity. The examination of small objects provides crucial information on the dissemination of medical and surgical knowledge during this period. This work shows the extent to which the history of surgery cannot be conceived without interdisciplinarity.

摘要

目的

确定罗马时期阿摩里卡地区的外科手术实践证据。

方法

研究了各种资料来源,以寻找罗马时代外科手术活动的潜在痕迹。目的是识别可能与古代手术器械相关的考古文物。一旦确定,由一名独立观察员在布列塔尼的不同考古仓库中对感兴趣的物品进行检查。

结果

在2021年3月至2022年12月期间,分析了995份挖掘报告。21份文件提到了一个可能的手术物品。其中一件被分析的文物在一份包含关键词“手术刀”的挖掘报告中被提及,该报告来自法国布列塔尼科特迪瓦讷省普卢夫拉甘遗址(邮编22240)。经过深入调查,该文物被成功找回。该物品长14厘米,由氧化青铜制成。其锥形手柄的横截面为八边形。一端,手柄变宽并扁平成一个尖状刮刀。另一端有一个狭缝,里面有一个铁部件,已严重腐蚀。据大英博物馆前馆长、罗马医疗仪器专家拉尔夫·杰克逊称,这个手术刀手柄很可能来自罗马时期,可追溯到公元1至3世纪。这把手术刀的存在表明,古代阿摩里卡的从业者进行了相对先进的外科手术。这项研究提供了证据,证明希腊罗马传统中概念化的手术医学在古代延伸到了阿摩里卡。

结论

虽然对“精美物品”和纪念性遗迹的研究给出了特定社会的片面形象,但对日常文物的分析可以对一个群体的习惯和日常活动产生重要见解。这一原则也适用于古代外科手术实践的研究。对小物品的检查提供了关于这一时期医学和外科知识传播的关键信息。这项工作表明,没有跨学科性,外科手术史就无法想象到何种程度。

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